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What is Normal Sensory MotorDevelopmentFull Term New Born InfantsMedical: No consistent medicalRed FlagsPremature Infants:

One-Two MonthPhysical: Decreased physical flexion “FallApart” hypotonicIncreased extraneous movementMovement play between flexion/extensionProne: Head to 45 degreesExtension through thoracic spineHips in flexion/abduction/externalRotationArms weight bear at ulnar part ofhandElbows behind shouldersAsymmetricalOne-Two MonthPhysical: Decreased movementLimited repertoire of movementToo much extensionImbalance of flexion/extensionProne:Neck hyperextension/no extensionHip extension/adduction/internalrotationNo/minimal weight bear to armsOne side more dominantMarked asymmetrySupine: Some head in midlineArms/legs move against gravityIncreased movement/range inarms/legsBursts of extension through bodyAsymmetrical but not fixedSide lying: Increase balance flexors/extensorsbut still inefficientHead lift in assisted rollPull to Sit: Head lag until 15 degree uprightSupine: Head predominantly to one sideMinimal/atypical extremitymovements against gravitySide lying: No head righting with assistedRollingPull to sit: Head lagMinimal assist with armsSitting:Extension through cervical/thoracicSpineHead up 45 degreesSitting:Poor head control/hyperextensionNo cervical/thoracic extensionLittle activity in armsReflexes: Inhibited: flexor withdrawalObservable: ATNR,STNR, neckRighting, suckleReflexes: Continued flexor withdrawal

Sensory: Visual-focal length 10 inchesAuditory: Greater discrimination/LocalizationTactileProprioceptive: less sensitive tolight touchCan be comforted by holdingSensory Organization:Physical: smooth breathing patternsNo skin color changes,Motor: No tone changes, postureObservable calming strategiesHand to mouth, suckingBehavior: Distinct sleep states, quiet awakeSelf-calm/console, smile, smooth movementsof arms/legs, visual/auditory focusSensory: Visual tracking difficultAuditory: difficulty localizingDifferentiating overly sensitiveTactilePropriceptive: hypo/hypersensitiveReactions to being help, touch,Sensory Disorganization:Physical: Changes in breathing patternSkin color, gag/spitting up, sneeze, hiccupYawn,Motor: Changes in tone, finger splaying,Grimace, stretching extremitiesArching back, hyper flexionOf extremitiesBehavioral: Indistinct sleep states, whimperTwitch/ jerky movements, eyes unfocusedFussy, frowns, gaze aversion, irritableStaring